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【目的】分析深圳基层5岁以下流动儿童保健状况,为全面掌握流动儿童保健状况,改善儿童保健服务提供事实依据。【方法】回顾分析法。通过对坪山预防保健所儿童保健科自2004~2008年儿童保健管理工作资料及数据进行综合分析,对儿童体检、系统管理、体弱儿(低体重、缺铁性贫血)发病情况及5岁以下儿童死亡情况等内容进分析比较。【结果】流动儿童体检率及系统管理率都较深圳坪山户籍儿童低(P=0.000)。低体重发生率流动儿童(1.57%)高于深圳坪山户籍儿童(1.11%),差异有显著性(P=0.001);缺铁性贫血流动儿童发病率(8.06%)高于深圳坪山户籍儿童(7.05%),差异有显著性(P=0.002);流动儿童的死亡率(5.492 3/万人年)明显高于深圳坪山户籍儿童的死亡率(0.422 4/万人年)。【结论】深圳市基层流动儿童保健状况不及深圳户籍儿童,应采取有效措施大力提高流动儿童保健状况,保障其合法权益,促进其身心健康发展。
【Objective】 To analyze the health status of migrant children under 5 years of age in basic level in Shenzhen and provide the factual basis for fully grasping the health status of migrant children and improving their health services. 【Method】 Retrospective analysis. Through the comprehensive analysis of the data and data of child health care management in Pingshan Preventive Health Institute from 2004 to 2008, this paper analyzed the prevalence of physical examinations, systematic management, infants (low birth weight, iron-deficiency anemia) and children under 5 years old Death and other content into the analysis and comparison. 【Results】 The physical examination rate and system management rate of migrant children were lower than those from Pingshan, Shenzhen (P = 0.000). The prevalence of low birth weight children (1.57%) was higher than that of Shenzhen Pingshan household children (1.11%) (P = 0.001). The prevalence of migrant children with iron deficiency anemia (8.06%) was higher than that of Shenzhen Pingshan household children 7.05%), the difference was significant (P = 0.002). The mortality rate of floating children (5.492 3 / million person years) was significantly higher than that of Shenzhen Pingshan household children (0.422 4 million person-years). 【Conclusion】 The health status of floating children in Shenzhen is less than that of Shenzhen residents. Therefore, effective measures should be taken to improve the health status of migrant children, protect their legitimate rights and interests, and promote their physical and mental health.